CLIA lab
CLIA 04D2094086: Mana Family Medicine Elkins
Fayetteville, AR. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 04D2094086 belongs to Mana Family Medicine Elkins in Fayetteville, AR.
Certificate for Provider-Performed Microscopy Procedures, effective April 9, 2025, expires April 8, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- April 9, 2025
- Certificate expiration
- April 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 9, 2015
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 04D2094086
- Lab name
- Mana Family Medicine Elkins
- Additional name
- Medical Associates of Northwest Arkansas
- Address
- 2127 North Center Street, Fayetteville, AR 72701
- Phone
- (479) 442-1645
- Fax
- (479) 582-1754
Annual test volume the lab reported
- Waived tests
- 1,200
- Provider-performed microscopy tests
- 500
- Total
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Mana Family Medicine Elkins in Fayetteville?
04D2094086, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mana Family Medicine Elkins hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 04D2094086 expire?
The CMS file lists April 8, 2027 as the certificate expiration date; the certificate took effect April 9, 2025.